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目的分析青海省三江源地区人群对布鲁氏菌病(布病)知晓现状及相关行为因素,指导健康教育及人群干预。方法用随机整群抽样方法对三江源地区人群开展问卷调查,采用Excel软件建立数据库,使用SPSS 17.0软件对数据进行统计学分析。结果共调查2491人,基本知识知晓率为17.59%。性别、年龄等5种因素与布病知晓率差异有统计学意义,多因素非条件logistic回归分析模型拟合表明职业(OR=2.107,95%CI:0.864~1.785,P=0.000)、文化程度(OR=2.834,95%CI:1.472~2.933,P=0.000)两种因素与布病知晓率存在统计学关系。7项可能感染布病的行为习惯因素中“有否食用未煮熟的肉或内脏习惯”所占比例最高为69.57%。结论青海省三江源地区布病高危人群布病知识知晓率低,生活及生产活动中存在高危行为。应结合三江源地区人群生活及生产活动、民族风俗等因地制宜地开展布病健康教育,提高行为干预水平。
Objective To analyze the status quo and related behavioral factors of brucellosis (brucellosis) in the population of Three Rivers in Qinghai Province, and to guide health education and crowd intervention. Methods A random cluster sampling method was used to survey the population in the Three Rivers Region. The database was set up by Excel software and the data were analyzed by SPSS 17.0 software. Results A total of 2491 people surveyed, the basic knowledge of awareness was 17.59%. Gender, age and other factors and the prevalence of brucellosis was statistically significant difference, multivariate non-conditional logistic regression model fitting showed that occupation (OR = 2.107,95% CI: 0.864 ~ 1.785, P = 0.000) (OR = 2.834,95% CI: 1.472-2.933, P = 0.000) There was a statistical relationship between the two factors and the prevalence of brucellosis. Among the 7 behavioral factors that may be affected by brucellosis, the highest proportion was 69.57%, “Is it possible to eat uncooked meat or viscera?” Conclusion There is a low awareness rate of brucellosis among high risk population of brucellosis in the Three River Source Region of Qinghai Province, and high risk behaviors in living and production activities. Should be combined with the life and production activities of ethnic groups in the Three Rivers, ethnic customs and other local conditions to carry out health education, improve the level of behavior intervention.